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KMID : 1037220160220030135
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Archives of Aesthetic Plastic Surgery
2016 Volume.22 No. 3 p.135 ~ p.143
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Vertical Mammaplasty for Varying Degrees of Reduction
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Kim Dae-Jin
Kim Seo-Young
Son Dae-Gu
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Abstract
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Background : Vertical reduction mammaplasty has been criticized for its inability to address larger cases of mammary hypertrophy, with a relatively high frequency of sensory loss reported. This article describes our single-institution experience with modified vertical reduction mammaplasty for varying degrees of breast reduction.
Methods : Thirty-three patients underwent breast reduction using the modified vertical reduction mammaplasty technique with a superomedial dermoglandular pedicle and modifications involving breast parenchyma excision. The degree of sensory preservation in the nipple-areola complex (NAC) was compared with preoperative sensation using an ordinal scale (0, insensate; 10, unchanged). Postoperative outcomes were evaluated through a photogrammetric analysis. Satisfaction with postoperative outcomes was assessed using a telephone questionnaire survey (1, very poor; 5, very good).
Results : The modified vertical mammaplasty technique allowed for reductions of up to 1,800 g per side. The mean resection weight was 459.24 g per breast (range, 76-1,800 g). Of the 59 operations, 9 involved complications without significant morbidity. The sensibility of the NAC recovered in most patients by 5 months after the operation. The mean satisfaction score was 3.4, which was between 'no change' and 'satisfied.'
Conclusions : Modified vertical reduction mammaplasty allows a single surgeon to address varying degrees of breast hypertrophy.
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KEYWORD
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Gigantomastia, Mammaplasty, Nipples
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